Claim total
$949.77
base $127.17 · payer covered $648.13
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-06-27
- Stop
- 2026-06-27
The parties
- Patient
- patient Ivory Sang Bergnaum
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicare
Record id
27eacba2-3581-8cec-7856-4f96e0f8d49d